Abstract:
:Clinical findings and response to treatment in four cases with plasma cell leukemia (PCL) out of 152 patients of multiple myeloma diagnosed at the Hospital La Paz from 1969 to 1988 are studied. Three of the four plasma cell leukemia cases presented a primary form, and one a secondary form. Our cases had a lower incidence of lymphadenopathy and splenomegaly than reported in previous series. The incidence of serum M band in PCL was similar to that found in multiple myeloma. The four patients received combination chemotherapy; one of them attained PR lasting for 2 months, and the remaining three failed to respond to similar therapy. The mean duration of survival was less than 8 months. Current treatments are reviewed.
journal_name
Rev Clin Espjournal_title
Revista clinica espanolaauthors
Manso F,Bello JL,Feliu J,García de Bustos J,Losada G,Quevedo Esubject
Has Abstractpub_date
1991-11-01 00:00:00pages
328-30issue
7eissn
0014-2565issn
1578-1860journal_volume
189pub_type
杂志文章abstract::The cerebral trunk infection by Listeria monocytogenes is a very rare process, with only 24 described cases and only 2 in immunodepressed patients. We present a new case of cerebral trunk encephalitis caused by Listeria in a patient diagnosed of Polyarteritis nodosa on steroids and cyclophosamide treatment and fatal e...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1990-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The Computerized Registry of Patients with Venous Thromboembolism (RIETE) is a prospective registry that consecutively includes patients diagnosed with venous thromboembolism. We compared the clinical presentation and response to anticoagulant treatment in patients with idiopathic venous throm...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2014.05.017
更新日期:2014-10-01 00:00:00
abstract::In pneumonias, the short diagnostic results of non-invasive procedures lead frequently to use invasive techniques, among which we find pulmonary puncture aspiration (PPA). In this study, the profitability of PPA in the diagnosis of pneumonias is evaluated. One hundred and thirteen PPA were performed on 107 patients di...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1994-04-01 00:00:00
abstract::Thirty-eight hepatitis B virus (HBV) carriers, AgHBs and anti-HBe positive, with histologic diagnosis of chronic hepatitis have been periodically revised for three years. Three of them were homosexuals. Fourteen patients presented reactivation of viral replication characterized by the appearance in serum of HBV-DNA an...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1991-06-01 00:00:00
abstract::Deep vein thrombosis (DVT) is part of the clinical spectrum of venous thromboembolism disease (VTE), whose estimated annual incidence rate is 1-2 episodes per 1000 individuals and represents the third leading cause of cardiovascular mortality in developed countries. Establishing an accurate diagnosis of DVT is essenti...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:10.1016/j.rce.2020.03.009
更新日期:2020-06-27 00:00:00
abstract::Patobiographic data of four brilliant painters who lived in three different centuries (Goya [XVIII], Fortuny and Van Gogh [XIX] and Portinari [XX]), were examined in search for a suspected lead poisoning. It is concluded that Goya's disease and deafness was probably caused by lead poisoning. Fortuny's death was probab...
journal_title:Revista clinica espanola
pub_type: 传,历史文章,杂志文章
doi:10.1016/s0014-2565(06)72707-2
更新日期:2006-01-01 00:00:00
abstract::Diagnosis of alcoholism is very important, given its high prevalence and possibility of influencing the disease course. For this reason, the so-called biological markers of alcoholism are useful. These are analytic parameters that alter in the presence of excessive alcohol consumption. The two most relevant markers ar...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1157/13079074
更新日期:2005-09-01 00:00:00
abstract::Six patients with severe and complicated falciparum malaria (6.7 +/- 2.7 WHO criteria) were admitted to our Intensive Care Unit. All patients acquired the disease while travelling in tropical Africa without appropriate chemoprophylaxis. The clinical manifestations included hyperpyrexia (all patients), chills (4), swea...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1998-08-01 00:00:00
abstract::Painful legs and moving toes syndrome is a rare medical picture characterized by involuntary movements of the toes or the whole foot and pain in lower limbs. However, this must be kept in mind due to its association with other diseases and its possibility of being the first symptom. Spinal cord and cauda equina diseas...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:10.1157/13102318
更新日期:2007-05-01 00:00:00
abstract::255 patients diagnosed of pulmonary and/or pleural tuberculosis are prospectively studied. All patients received four drugs: isoniazine (INH), rifampin, pirazinamide and ethambutol during the first two months of treatment. Afterwards they continued for four months with two drugs in order to complete the six month trea...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1990-02-01 00:00:00
abstract::Patients admitted in an ICU after OH-CRA before and after the implementation of a MMICU were evaluated. During a period of 11 years, divided into a pre-MMICU period (1988-1993) and a post-MMICU period (1994-1998), 39 patients were admitted in the pre period and 64 patients in the post period. The basal characteristics...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1157/13052582
更新日期:2003-11-01 00:00:00
abstract::Coeliac disease is the most frequent malabsortive syndrome in daily practice. However, its true prevalence is not exactly known. The symptoms vary from patient to patient, ranging from the classic presentation with diarrhea, weight loss and fatigue to oligosymptomatic forms, being the latter more common in adults. We ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract::Cancer of unknown primary site (CUPS) is a heterogeneous entity defined by the presence of a histologically-proven metastatic neoplasm, in which the original tumor cannot be identified after a targeted study. The current guidelines for CUPS focus is not based on the search for the primary neoplasm but rather on the id...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/s0014-2565(09)71820-x
更新日期:2009-07-01 00:00:00
abstract::In most cases, the etiological diagnosis of pleural exudates does not require a pleural biopsy. However, when it is considered necessary, the biopsy should seldom be conducted using invasive methods such as thoracoscopy. Two paradigmatic examples are pleural tuberculosis and malignant effusions. In many centres, pleur...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2017.02.016
更新日期:2017-10-01 00:00:00
abstract::The polyacrylamide gel electrophoresis of spinal fluid from 488 patients suffering neurological diseases and from a control group are reviewed. One hundred and eleven cases (22.7%) showed oligoclonal bands (OB). The highest percentage of OB appeared in the group of patients with definite multiple sclerosis (84%), foll...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1989-10-01 00:00:00
abstract::In order to assess factors associated with spontaneous pneumothorax (SP), mainly climatic changes, a prospective study was undertaken of 62 SP episodes among patients admitted to our hospital during a two-year period, from January 1994 to January 1996. Atmospheric pressure (AP) changes were analyzed, with daily record...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/s0014-2565(02)70990-9
更新日期:2002-02-01 00:00:00
abstract::The clinical features of 30 patients with carcinomatous meningitis caused by solid tumors are reported. The most common originating sites of tumors were lung (12 cases) and breast (9 cases). Headache was the most common presenting symptom and there was involvement in more than one level of neuro-axis in 53% of cases. ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1994-07-01 00:00:00
abstract::The therapeutic effect of captopril in treating mild to moderate arterial hypertension has been evaluated in 20 patients. During 15 days patients underwent a washout period. Patients then received a single dose of 50 mg of captopril by mouth per day during 4 weeks. Before and after treatment, blood pressure (BP) was c...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1989-03-01 00:00:00
abstract:BACKGROUND:Diagnosis of acute kidney injury (AKI) during acute decompensations of heart failure (ADHF) remain challenging. We analysed the incidence and prognosis of AKI, and the significance of small increases of creatinine, during ADHF and after stabilization. PATIENTS AND METHODS:Patients admitted for ADHF were pro...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2019.11.008
更新日期:2019-12-24 00:00:00
abstract::Since the beginning of the 20th century, there has been a progressive increase in the Earth's temperature. This warming of the Earth's surface is largely due to the so-called green house effect that can alter the natural behavior of some natural phenomena such as El Niño. Several articles on climate change have been p...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/s0014-2565(09)71240-8
更新日期:2009-05-01 00:00:00
abstract:OBJECTIVES:We evaluated the effect of an intervention on certain quality indicators employed for improving the treatment of hospital hyperglycemia. MATERIAL AND METHODS:A multicenter cross-sectional study was conducted on patients with hyperglycemia hospitalized in the internal medicine departments of 44 hospitals eva...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2016.05.006
更新日期:2016-10-01 00:00:00
abstract::Our objective has been to elaborate an updated Clinical Guide of the Spanish Society of Internal Medicine (SEMI) for the prevention and treatment of glucocorticoids-induced osteoporosis (GIO), identifying and measuring the grade of evidence that supports the given recommendations. For this, we reviewed studies perform...
journal_title:Revista clinica espanola
pub_type: 杂志文章,实务指引
doi:10.1157/13115006
更新日期:2008-01-01 00:00:00
abstract::The present design is a descriptive study in which people bitten by animals, rabies treatment used and the reactions to it are described. The frequency of adverse effects to the vaccine and to the serum are pointed out. The forms of clinical presentation and the clinical symptoms of the reactions observed in the Ciego...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1157/13058826
更新日期:2004-03-01 00:00:00
abstract:OBJECTIVE:Analyze the effect of AM3, an oral immunomodulator, on the exacerbations and on the use of antibiotics in patients with chronic obstructive pulmonary disease (COPD). DESIGN:Systematic search of controlled clinical trials that used AM3 in some treatment group and that included data on the clinical effects of ...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1157/13065976
更新日期:2004-09-01 00:00:00
abstract:OBJECTIVE:To study the prevalence and presentation forms of hereditary hemorrhagic telangiectasia (HHT) among the population in our hospital area. MATERIALS AND METHODS:Descriptive, retrospective study of patients with the diagnosis of HHT from to 1999 at La Fe Hospital, Valencia. Family history, repeated epistaxis, m...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/s0014-2565(01)70935-6
更新日期:2001-11-01 00:00:00
abstract::The presence of anti-HIV (human immunodeficiency virus) antibodies was determined in 325 subjects. The samples were taken from 138 convicts from Carabanchel and Ocaña I jail, 162 parenteral drug addicts (PDA) from a center for rehabilitation of drug addicts (CR), and from 14 family members and 11 stable couples of the...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1989-04-01 00:00:00
abstract:OBJECTIVES:Heart failure decompensation is the most common reason for hospitalization in persons over 65 years old. There is limited information on the prevalence of precipitating factors of heart failure decompensation in this population. In this study we prospectively examined the factors associated with decompensati...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:10.1016/j.rce.2010.04.020
更新日期:2010-11-01 00:00:00
abstract::We discuss 19 cases of infection due to Cryptococcus neoformans diagnosed in 438 AIDS patients admitted to our center (4%). Fourteen of them showed meningitis confirmed by culture of C. neoformans in CSF. Clinical features were rather unspecific and disorders in CSF parameters were non striking. The diagnostic techniq...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1992-05-01 00:00:00
abstract:OBJECTIVES:To describe the evolution of smoking habits in the general population of Barcelona from 1983 to 1992 and motivation of smokers and the perceived social pressure to leave smoking in 1992. DESIGN:Cross-sectional descriptive study of trends. PLACE AND PARTICIPANTS: From 1983 to 1992 two health surveys were con...
journal_title:Revista clinica espanola
pub_type: 杂志文章
doi:
更新日期:1996-06-01 00:00:00
abstract::Three new cases of diffuse pulmonary lymphangioleiomyomatosis are presented. Case number 1 is a female patient who presented repeated pneumotorax and dyspnea without evidence by CT scan and gynecological ultrasound of extrathoracic lesions. This patient did not respond to medroxiprogesterone and died 5 years after the...
journal_title:Revista clinica espanola
pub_type: 杂志文章,评审
doi:
更新日期:1990-04-01 00:00:00